Substance Misuse

The Department of Justice’s Bureau of Justice Statistics recently released statistical briefs on selected policies and procedures of local police departments and sheriffs’ offices, based on data from BJS’s 2016 Law Enforcement Management and Administrative Statistics survey. The tables show national estimates and distributions by population served on topics such as average hours of officer training by type of training, written community-policing plans, annual operating budgets, written directives for officer conduct, written documentation for officers’ display or discharge of firearms, authorized less-lethal techniques and restraints, and requirements for external investigations of deaths or use of force....

In the early 1970’s, as part of its efforts to increase treatment for substance use disorder and reduce the stigma surrounding such treatment, the federal government enacted the Drug Abuse Office and Treatment Act of 1972. That Act included a statutory provision for the confidentiality of patient records, now codified at 42 U.S.C. § 290dd-2. This section provides the legal basis for regulations first adopted in 1975 that supplement and expand on the confidentiality provisions of 42 U.S.C. § 290dd-2. These regulations, known colloquially as “42 C.F.R. Part 2” or just “Part 2”, provide increased protection for the records of patients receiving treatment for substance use disorder. Subsequent amendments over the years to both 42 U.S.C. § 290dd-2 and 42 C.F.R. Part 2 served to modernize, clarify, and expand upon the protections granted by the original provisions. This fact sheet provides information about federal laws related to privacy protections for treatment records....

With hard to reach populations, one of the most effective engagement strategies is through community outreach. By meeting individuals where they are, community outreach programs can gain their trust and that of the community and provide people with health care, social services, and harm reduction assistance. One popular method of community outreach is through mobile outreach vehicles (MOVs) which usually consist of large vans, trailers, or campers that are customized to provide health care and harm reduction services in targeted communities. A large benefit over brick and mortar clinics is the fact that MOVs are ambulatory and can travel to those who most need services. Additionally, one MOV can service multiple neighborhoods and can travel to targeted areas in the community as drug use patterns emerge. This fact sheet provides information about mobile outreach vans and the services that they provide to at-risk communities....

High Intensity Drug Trafficking Area (HIDTA) is a federal program administered by the Office of National Drug Control Policy, Executive Office of the President, that provides resources to federal, state, local, and tribal agencies to coordinate activities addressing drug trafficking in more than 30 areas of the country. The Washington / Baltimore HIDTA developed ODMAP in the fall of 2016 and launched it as a pilot program in West Virginia and Maryland in January 2017. ODMAP is a mapping application tied to a database containing overdose incident information. W/B HIDTA provides no cost access to ODMAP to federal, state, local, and tribal law enforcement, other licensed first responders, criminal justice personnel, emergency room and hospital personnel, and other public health entities serving the interests of public safety and public health. The primary purposes of ODMAP include: (1) to provide near real-time surveillance of known or suspected overdose incidents across the United States and its territories; and (2) to support public safety and public health efforts to collaborate and mobilize immediate responses to a sudden increase or spike in overdose incidents. This fact sheet provides basic information about ODMAP. ...

Incorporating a trauma-informed approach to the treatment of substance use disorder (SUD) results in treating patients with more respect instead of blaming or shaming then for using. SUD treatment programs that use a trauma-informed approach and focus on adverse childhood experiences (ACEs), allow patients to gain a better understanding of the relationship between ACEs and SUD....

Incarcerated individuals have been fighting back against state prison policies that ban medication for addiction for addiction treatment (MAT) in correctional facilities by arguing in court cases that these policies violate the Americans with Disabilities Act and the Eighth Amendment of the United States Constitution. As courts rule in favor of the incarcerated, states will need to reconsider their policies on MAT in correctional settings to avoid future lawsuits. ...